Diverticulum of the greater curvature of the stomach as a cause of anaemisation
Authors:
A. Prochotský 1; P. Hlavčák 2; R. Okoličány 1; J. Škultéty 1; J. Sekáč 1; M. Huťan, Jr. 1; M. Ježovít 1; S. Dolák 1
Authors place of work:
II. chirurgická klinika LF UK a UNB, Bratislava – Petržalka, prednosta: Doc. MUDr. Ján Škultéty, CSc.
1; Histopatológia, a. s., Bratislava – Petržalka, primár: MUDr. Peter Hlavčák, CSc.
2
Published in the journal:
Rozhl. Chir., 2012, roč. 91, č. 9, s. 481-485.
Category:
Case Report
Summary
Gastric diverticula represent a rare pathological condition. They are usually asymptomatic and are often found only by accident during radiologic or endoscopic examination, or during autopsy. Their incidence is low and evenly distributed between men and women. Gastric diverticula are most frequently located on the posterior wall of the cardia and on the lesser curvature of the stomach. The authors present a case study of a 58-year-old patient with severe sideropenic anaemia, a marked weight loss and non-specific dyspeptic symptoms. The suspicion of a diverticulum was raised by a gastroenterologist during gastrofibroscopy and confirmed by a radiologist following a dynamic CT examination of the stomach. The diverticulum had an atypical location beneath the cardia on the greater curvature. The patient was indicated for surgery. During conventional laparotomy, resection of the diverticulum was performed using a linear stapler. The postoperative course was uneventful. Histology confirmed a false diverticulum. The patient is doing well, is asymptomatic, has put on 7 kg since the operation and her blood count is normal.
Key words:
gastric diverticulum – symptomatology and diagnostics – reasonable indication for surgical therapy – laparoscopy – laparotomy
Zdroje
1. Cotea E, Vasilescu A, Dimofte G, Crumpei F, Moldovanu R, Mihailescu A. Fastric diverticula on the greater curvature. Journalul de Chirurgie Iasi 2007;3,3:269–273.
2. Černý J. Špeciálna chirurgia. Chirurgia tráviacej rúry. 2. vydanie, Tlačiarne BB, 1996:498, ISBN 80-88824-26-5
3. Donkervoort SC, Baak LC, Blaauwgeers JL, Gerhards MF. Laparoscopic resection of a symptomatic gastric diverticulum: a minimally invasive solution. JSLS 2006;10,4:525–527.
4. Elliot S, Sandler AD, Meehan JJ, Lawrence JP. Surgical treatment of a gastric diverticulum in an adolescent. J Pediatr Surg 2006;41,8:1467–1469.
5. Gockel I, Thomschke D, Lorenz D. Gastric diverticula. Journal of Gastroenetrology and Hepatology 2004;19,2,174–178.
6. Goiten D, Papasavas PK, Gagné DJ, Urbandt J, Caushaj PF. Laparoscopic resection of gastric diverticulum presenting after Roux-en-Y gastric bypass. Surg Obes Relat Dis 2006;2,5:528–530.
7. Graham DY, Kimbrough RC, Fagan T. Congenital gastric divertiuculum as a cause of massive hemorrhage. Journal Digestive Diseases and Sciences 1974;19,2:174–178.
8. Chatni S, Nair SP, Nandakumar R, Geetha M, Sooraj V, Narayanan VA, Balakrishnan V. Polyp within gastric diverticulum. Indian J Gastroenetrol 2006,25:205–208.
9. Ionescu A, Forai F, Ilea O, Ota A. A giant cancer of a gastric diverticulum. Rev Chir Oncol Radiol ORL Oftalmol Stomatol Chir 1990;39,2:145–150.
10. Katsinelos P, Papaziogas B, Paraskevas G, Chatzimavroudis G, Koutelidakis J, Katsinelos T, Paroutoglou G. Ectopic papila of Vater in the stomach, blind antrum with aberrant plyoric opening, and congenital gastric diverticula: an unreported association. Surg Laparosc Endosc Percut Tech 2007;17,5:434–437.
11. Kubiak R, Hamil J. Laparoscopic gastric diverticulectomy in a 13-year-old girl. Surg Laparosc Endosc Percutan Tech 2006; 16,1:29–31.
12. Marshall ML, Wiliams WT. Tri-locular gastric diverticulum. Ann Surg 1950;132,2:273–281.
13. Mnif L, Amouri A, Masmoudi MA, Tahri N. Large gastric diverticulum. Tunis Med 2010; 88,10:765–766.
14. Mosca F, Stracqualursi A, Peris A, Calabro V, Zappala, O. Gastric diverticulum. A case report with long term follow – up and a review of the literature. Minerva Chir 2003;58,4: 607–613.
15. Palmer ED. Collective review: gastric diverticula. Int Abstr Surg 1951; 92:417–428.
16. Rodeberg DA, Zaheer S, Moir CR, Ishitani MB. Gastric diverticulum: a series of four pediatric patients. J Pediatr Gastroenetrol Nutr 2002;34,5:564–567.
17. Schiller AH, Roggendorf B, Delker-Wegner S, Richter K, Kuthe A. Laparoscopic resection of gastric diverticula: two case reports. Zentralbl Chir 2007;132,3:251–255.
18. Schmidt HW, Walters W. Diverticula of stomach. Surg Gynec Obst 1935;60:106–110.
19. Tebala GD, Camperchioli I, Tognoni V, Innocenti P, Gaspari AL. Laparoscopic treatment of a gastric diverticulum. Eur Rev Med Pharmacol Sci 2010;14,2:135–138.
20. Tsuchigame T, Ogata I, Mitsuzaki K, Urata J, Arakawa A, Saito R, Uozumi H, Yamashita Y. Clinical evaluation of gastric diverticulum on indirect radiograph for gastric mass survey. Nihon Igaku Hoshasen Gakkai Zashi 2003; 63,1: 36–40.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2012 Číslo 9
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
Najčítanejšie v tomto čísle
- A giant gastrointestinal stromal tumour – a case report
- Diverticulum of the greater curvature of the stomach as a cause of anaemisation
- The development of surgical treatment in liver and biliary tract diseases
- SILS appendectomy for acute appendicitis – two-year experience